Relationship among Chinese herb polysaccharide (CHP), gut microbiota, and chronic diarrhea and impact of CHP on chronic diarrhea

• Published in: Food science & nutrition Vol. 11; no. 10; pp. 5837 - 5855
• Main Authors: Xue, Hong, Mei, Chun‐Feng, Wang, Feng‐Yun, Tang, Xu‐Dong
• Format: Journal Article
• Language: English
• Published: Malden, Massachusetts John Wiley & Sons, Inc 01.10.2023; John Wiley and Sons Inc; Wiley
• Subjects: antidiarrheal effect; Bacteria; Chemical precipitation; Chinese herb polysaccharides; Chinese medicine; chronic diarrhea; Chronic illnesses; Colonization; Diarrhea; Digestive system; Digestive tract; Fatty acids; Fecal microflora; Fermentation; gut microbiota; Herbal medicine; Herbs; Homeostasis; Intestinal microflora; Irritable bowel syndrome; Metabolites; Microbiota; Microorganisms; Molecular weight; Monosaccharides; Natural polymers; Polymers; Polysaccharides; Proteins; Review; Reviews; Saccharides; Signs and symptoms; small intestinal bacterial overgrowth (SIBO); Small intestine; China
• ISSN: 2048-7177; 2048-7177
• DOI: 10.1002/fsn3.3596

Chronic diarrhea, including diarrhea-predominant irritable bowel syndrome (IBS-D), osmotic diarrhea, bile acid diarrhea, and antibiotic-associated diarrhea, is a common problem which is highly associated with disorders of the gut microbiota composition such as small intestinal bacterial overgrowth (SIBO) and so on. A growing number of studies have supported the view that Chinese herbal formula alleviates the symptoms of diarrhea by modulating the fecal microbiota. Chinese herbal polysaccharides (CHPs) are natural polymers composed of monosaccharides that are widely found in Chinese herbs and function as important active ingredients. Commensal gut microbiota has an extensive capacity to utilize CHPs and play a vital role in degrading polysaccharides into short-chain fatty acids (SCFAs). Many CHPs, as prebiotics, have an antidiarrheal role to promote the growth of beneficial bacteria and inhibit the colonization of pathogenic bacteria. This review systematically summarizes the relationship among gut microbiota, chronic diarrhea, and CHPs as well as recent progress on the impacts of CHPs on the gut microbiota and recent advances on the possible role of CHPs in chronic diarrhea.